— 照護管理 · MEDIUM · SATA —
護理長應將哪些病人分配給新進護理師照顧？（選所有適合的）
Which of the following clients should the charge nurse assign to a newly licensed nurse? (Select all that apply.)
- AA client requiring routine dressing changes✓ 正解需要常規換藥的病人
- BA client who is unstable and requires frequent titration of vasoactive drips病情不穩定且需頻繁調整血管活性藥物輸注速度的病人
- CA client awaiting discharge with stable vital signs✓ 正解生命徵象穩定、等待出院的病人
- DA client requiring complex wound care with multiple drains需要複雜傷口護理且有多根引流管的病人
- EA client scheduled for a routine physical assessment✓ 正解安排進行常規身體評估的病人
— Explanation · 中文詳解 —
新進護理師適合照顧病情穩定、預測性高且不需要複雜決策的病人。Routine 換藥、準備出院與一般評估屬於穩定病情。不穩定的病人（B）或需要精密技術處理的複雜傷口（D）需要資深護理師的臨床經驗與判斷能力，不適合交給新手。
Newly licensed nurses should be assigned clients with stable conditions and predictable outcomes, such as those requiring routine dressing changes, awaiting discharge with stable vital signs, or needing standard physical assessments. These assignments allow new nurses to build competence without the high acuity demands of unstable clients or complex wound care, which require advanced clinical judgment and experience.
✦ 台美臨床差異
美國透過 Preceptor 制度帶領新人；台灣則常見資深帶領資淺，但在病房指派上較少明確分級制度。